Blue Cross Blue Shield of Texas 2018 Plan Guide

Texas Plans

On and Off Exchange

BCBSTX has simplified their plan options for 2018, designed to:

  • Control escalating medical costs
  • Lower cost barriers to care for members
  • Focus on providing a variety of benefit features to a broad base
  • Ensure compliance with new 2018 regulations
  • Sustain product offering amid changing legislation

All plans/networks are available statewide.

HMO Plans

Just like 2017, and continuing an industry-wide trend (no major carriers offer PPO plans in Texas), BCBSTX only offer HMO plans in 2018. However, Blue Advantage Plus plans offer some out of network benefits, unlike traditional HMOs.

  • HMOs help keep upfront costs low
  • Tax credits and cost-sharing assistance may be available to help lower premiums and out-of-pocket costs
  • Managed care on a personalized level with care coordinated by one doctor
  • Physician care extenders – allows physician assistants and advanced registered nurse practitioners to be PCPs


Helpful Resources 24/7
  • 24/7 Virtual Visits
  • 24/7 Nurseline (English and Spanish)
  • Cost Estimator Tool on Blue Access for Members
  • “Where You Go Matters” member education campaign on using ERs
  • “On The Go” – BCBSTX App
  • Easy-to-use BCBSTX App – finnd a doctor, see payment options, access electronic ID card and more, just text BCBSTXAPP to 33633 Blue365®
  • Blue365 member discount program – members save on health club and gym memberships, weight loss programs, dental products and much more
Health Plans

 Blue Advantage HMO Plans:

1 Bronze, 1 Silver, 2 Gold

  • Helps keep costs lower and more predictable
  • Personalized with a primary care provider (PCP), who coordinates all health care

Blue Advantage Plus:

1 Bronze, 2 Silver, 1 Gold

  • Greater flexibility
  • Leverages the HMO network
  • Some out-of-network benefits available
BCBSTX Dental Plans
Members currently enrolled MUST re-enroll for 2018.  Check out our dental plan guide.
Prescription & Pharmacy
BCBSTX has switched to a 6 tier formulary from a 4 tier formulary in 2018. • 6 prescription benefit tiers for most plans – generic, brand and specialty drugs now have preferred and non-preferred benefit levels • All plans include a drug list and Preferred Pharmacy Network
Contact Us
Phone: (312) 726-6565 Email: [email protected]
Popular Hospital Network Guide
Hospital Included in Advantage HMO Network?
Doctors Hospital At Renaissance (Edinburg) YES
University Health System (San Antonio) NO
Medical City Hospital (Dallas) YES
Memorial Hermann Hospital (Sugar Land) YES
Mother Frances Hospital (Tyler) NO
Scott & White Hospital (Round Rock) NO
North Austin Medical Center (Austin) YES
Seton Medical Center (Austin) YES
Hill Country Memorial Hospital (Fredericksburg) YES
Texas Health Harris Methodist (Fort Worth) YES
UT Southwestern Medical Center (Dallas) NO
Memorial Hermann Texas Medical Center (Houston) YES
St. Lukes Episcopal Hospital (Houston) YES
Baylor University Medical Center (Dallas) YES
The Methodist Hospital (Houston) YES

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Find What Plans Your Doctor Accepts

Find Every Plan In Your Area Calculate Your Subsidy Live Chat Our Agents Apply On Or Off the Exchange Apply in Under 5 Minutes

Days Until Open Enrollment